Individual provider Active NPI

Joseph Vernal Bowden, D.C.

  • Rehabilitation Chiropractor
  • Layton, UT
National Provider Identifier
1275627754
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
851729951202 Issued in UT
Practice address
116 N Adamswood Rd Ste 2
Layton, UT 84040-4004
Phone
(801) 888-2134
Fax
(801) 546-2502
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 851729951202 UT Primary

Addresses

Primary practice location

116 N Adamswood Rd Ste 2
Layton, UT 84040-4004

Mailing address

116 N Adamswood Rd Ste 2
Layton, UT 84040-4004
Phone (801) 888-2134

Other identifiers 1

IdentifierTypeStateIssuer
870395551005MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
851729951202UTMDRehabilitation Chiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275627754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N ADAMSWOOD RD STE 2",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840404004",
            "telephone_number": "801-888-2134",
            "fax_number": "801-888-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N ADAMSWOOD RD STE 2",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840404004",
            "telephone_number": "801-888-2134",
            "fax_number": "801-546-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "JOSEPH",
        "middle_name": "VERNAL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "UT",
            "license": "851729951202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870395551005",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.